JAN IDZIKOWSKI, PA
Physician Assistant - Surgical
Active
Individual
NPI: 1629074505
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | Yes | 1188 (NH) |
Frequently Asked Questions
NPI 1629074505 is the National Provider Identifier for JAN IDZIKOWSKI, PA, a Physician Assistant - Surgical provider located in New London, NH. This NPI was enumerated on June 24, 2005.
JAN IDZIKOWSKI, PA practices at 273 COUNTY RD, New London, NH 03257.
Quick Facts
- NPI
- 1629074505
- Type
- Individual
- Enumerated
- Jun 24, 2005
- Last Updated
- Jan 8, 2020
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